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Advances in Surgical Reconstructive Techniques in the Management of Penile, Urethral, and Scrotal Cancer
Reconstruction After Skin Cancer
This article reviews the most up-to-date surgical treatment options for the reconstructive management of patients with penile, urethral, and scrotal cancer. Each organ system is examined individually. Techniques and discussion for penile cancer reconstruction include Mohs surgery, glans resurfacing, partial and total g...
0
Self-report of one-year fracture incidence and osteoporosis prevalence in a community cohort of canadians with spinal cord injury
DoD PRF (Psychosocial RF)
Sublesional declines in hip and knee region bone mass are a well-established consequence of motor complete spinal cord injury (SCI), placing individuals with SCI at risk for fragility fracture, hospitalization, and fracture-related morbidity and mortality. Objectives: To describe the 1-year incidence of fracture and os...
0
A Case of Functional Metastatic Follicular Thyroid Carcinoma that Presented with Hip Fracture and Hypercalcemia
MSTS 2018 - Femur Mets and MM
Thyroid follicular cancers are one of the thyroid gland cancers. This cancer can lead to metastases to various areas of the body. We describe a patient with thyroid follicular carcinoma who after total thyroidectomy had severe hypercalcemia, increased creatinine, and thyrotoxicosis due to extensive bone metastases. The...
0
Bilateral plate fixation for type C distal humerus fractures: experience at a single institution
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
Type C fractures of the distal humerus are difficult to treat and typically require open anatomical reduction and internal fixation. Here we describe our experience treating patients with type C distal humerus fractures using a trans-olecranon approach with bilateral plate fixation. Fifty-six patients (30 males, 26 fem...
0
Pre-operative Medical Assessment and Optimisation
Hip Fx in the Elderly 2019
One-third of patients presenting with hip fracture are active and independent without significant comorbidities that impact on their daily living. For them, the risk of surgery and post-operative complications is low. However, the challenge arises for those with markers of frailty, and it is important to consider that ...
0
Do People With Severe Traumatic Brain Injury Benefit From Making Errors? A Randomized Controlled Trial of Error-Based and Errorless Learning
DoD PRF (Psychosocial RF)
BACKGROUND: Errorless learning (ELL) and error-based learning (EBL) are commonly used approaches to rehabilitation for people with traumatic brain injury (TBI). However, it is unknown whether making errors is beneficial in the learning process to promote skills generalization after severe TBI. OBJECTIVE: To compare the...
0
Acromioclavicular osteoarthritis: a common cause of shoulder pain
Pediatric Supracondylar Humerus Fracture 2020 Review
Osteoarthritis of the acromioclavicular joint is a frequent cause of shoulder pain and can result in significant debilitation. It is the most common disorder of the acromioclavicular joint and may arise from a number of pathologic processes, including primary (degenerative), posttraumatic, inflammatory, and septic arth...
0
Treatment of scaphoid nonunion with combined vascularized distal radius graft and iliac crest bone graft
Distal Radius Fractures
The optimal treatment of scaphoid nonunion is a controversial and challenging task in hand surgery. Although advances in internal fixation techniques have resulted in improved union rates, fractures with impaired vascularity have less than satisfactory results with conventional grafting techniques. We describe the tech...
0
Management of upper limb bone defects using free vascularized osteoseptocutaneous fibular bone graft
Distal Radius Fractures
Sixteen patients (11 men and 5 women), who formed the basis of the study, underwent surgery in the Hand and Reconstruction Microsurgical Unit, Orthopedic Department, Sohag Faculty of Medicine, from January 2001 to January 2009.The right side was involved in 7 cases and the left side in 9 cases. Average age was 35.2 yea...
0
A review of environmental factors implicated in human developmental dysplasia of the hip
Developmental Dysplasia of the Hip 2020 Review
PURPOSE: Developmental dysplasia of the hip (DDH) is common, and the term encompasses a spectrum of anatomical abnormalities of the hip in which the femoral head displaces from the acetabulum. These abnormalities may be congenital or develop during infancy and/or childhood. Neither the prenatal and postnatal factors th...
0
Patient and implant survival following intraoperative periprosthetic femoral fractures during primary total hip arthroplasty: An analysis from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man
Pediatric Diaphyseal Femur Fractures 2020 Review
Aims We compared implant and patient survival following intraoperative periprosthetic femoral fractures (IOPFFs) during primary total hip arthroplasty (THA) with matched controls. Patients and Methods This retrospective cohort study compared 4831 hips with IOPFF and 48 154 propensity score matched primary THAs without ...
0
Glenoid bone defects-open latarjet with congruent arc modification
Glenohumeral Joint OA
Recurrent anterior shoulder instability is commonly associated with glenoid bone defects. When the defect is significant, bony reconstruction is typically necessary. The congruent arc modification of the Latarjet procedure uses the concavity of the undersurface of the coracoid to optimally reconstruct the glenoid. Outc...
0
Functional outcome after hip fracture. A 1-year prospective outcome study of 275 patients
HipFx Supplemental Cost Analysis
Two hundred and seventy-five consecutive patients over the age of 50 years admitted with a hip fracture were prospectively studied in detail, to assess the impact of a hip fracture on their functional ability and their need for social support. One hundred and eighty-three (66.9%) patients survived to 1 year. Mortality ...
0
Intramedullary arthrodesis after failed septic total knee arthroplasty
PJI DX Updated Search
Intramedullary arthrodesis for the treatment of the failed septic total knee arthroplasty results in a high rate of union but should be reserved as a salvage procedure in the management of failed septic total knee arthroplasty. If selected, it should be performed as a 2-staged procedure after the 2-stage protocol for j...
0
The john charnley award: Risk factors for cup malpositioning: Quality improvement through a joint registry at a tertiary hospital
Management of Hip Fractures in the Elderly
Background: Few studies have examined factors that affect acetabular cup positioning. Since cup positioning has been linked to dislocation and increased bearing surface wear, these factors affecting cup position are important considerations. Question/purposes: We determined the percent of optimally positioned acetabula...
1
A randomized controlled trial of acupuncture for osteoarthritis of the knee: effects of patient-provider communication
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: There is conflicting evidence on the efficacy of traditional Chinese acupuncture (TCA), and the role of placebo effects elicited by acupuncturists' behavior has not been elucidated. We conducted a 3-month randomized clinical trial in patients with knee osteoarthritis to compare the efficacy of TCA with sham ...
0
Hip Fractures: Therapy, Timing, and Complication Spectrum
Hip Fx in the Elderly 2019
Objective: Investigation of the treatment of femur fractures and the type of femur fracture-associated complications regarding timing of surgery and length of hospital stay. Methods: In this retrospective cohort study, a total of 358 hip fractures were evaluated retrospectively from 1 January 2008 until 31 December 201...
0
Odontoma associated with non-syndrome multiple supplemental supernumerary teeth
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Odon tomes are considered as developmental anomalies resulting from the growth of completely differentiated epithelial and mesenchymal cells that give rise to ameloblasts and odontoblasts. These tumours are formed of enamel and dentin, but they can also have a variable amount of cementum and pulp tissue. Odon tomes are...
0
Trajectories of femorotibial cartilage thickness among persons with or at risk of knee osteoarthritis: development of a prediction model to identify progressors
AMP (Acute Meniscal Pathology)
Objective: There is significant variability in the trajectory of structural progression across people with knee osteoarthritis (OA). We aimed to identify distinct trajectories of femorotibial cartilage thickness over 2 years and develop a prediction model to identify individuals experiencing progressive cartilage loss....
0
Moving beyond survival: coping behaviours of low-income single mothers
DoD PRF (Psychosocial RF)
The purposes of this study were to describe the psychosocial and environmental contexts affecting the lives of low-income, single mothers and to explore their everyday coping strategies. Nine mothers of preschool children participated in multiple, unstructured and semi-structured in-home interviews. Traumatic childhood...
0
Transcalvarial suture fixation for endoscopic brow and forehead lifts
Upper Eyelid and Brow Surgery
OBJECTIVE: To evaluate the safety and effectiveness of transcalvarial suture fixation during endoscopic repair of brow ptosis. DESIGN: Case series. SETTINGS: A private ambulatory surgicenter and a Veterans Affairs Hospital. PARTICIPANTS: Fifty patients with brow ptosis with minimum follow-up of 12 months. RESULTS: Pati...
0
Effectiveness of Mom-made Pavlik harness for maintaining reduction of the hip in DDH
Developmental Dysplasia of the Hip 2020 Review
BACKGROUND: Co-operation of the parent is a major factor for successful treatment of developmental dysplasia of the hip (DDH). The commercial Pavlik harness is too expensive and the parent may not understand or refuse its use. Regarding the function of the Pavlik harness and awareness of complications, a Mom-made Pavli...
0
Multiple previous surgeries, infection, and preoperative radiation: A cause for arterial rupture in closed reduction?
Management of Hip Fractures in the Elderly
We report a patient who underwent revision hip arthroplasty with preoperative radiation after a septic loosening of the primary hip prosthesis. Subsequently the patient presented with a dislocation of the hip. During the closed reduction with general anesthesia, a rupture of the arteria profunda femoris occurred. The p...
0
Fibroblast Growth Factor-23, Sclerostin, and Bone Microarchitecture in Patients With Osteoporotic Fractures of the Proximal Femur: A Cross-sectional Study
Hip Fx in the Elderly 2019
This cross-sectional observational cohort study was designed to simultaneously investigate bone microarchitecture and serum markers of bone metabolism in elderly osteoporotic patients experiencing a trochanteric or femoral neck fracture. Special emphasis was put on renal function, sclerostin and fibroblast growth facto...
0
Effects of acupuncture on sensory perception: A systematic review and meta-analysis
OAK 3 - Non-arthroplasty tx of OAK
Background: The effect of acupuncture on sensory perception has never been systematically reviewed; although, studies on acupuncture mechanisms are frequently based on the idea that changes in sensory thresholds reflect its effect on the nervous system. Methods: Pubmed, EMBASE and Scopus were screened for studies inves...
0
Vertical scar reduction mammaplasty as a standard procedure experiences in the introduction and validation of a modified reduction technique
Reduction Mammoplasty for Female Breast Hypertrophy
Based on experiences with a modified vertical scar reduction mammaplasty technique over a 5-year-period, this article discusses the results obtained and complications encountered with this technique. From 1991 to 1995, 628 reduction procedures were performed using a single vertical scar technique in 228 patients. The p...
0
Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials
HipFx Supplemental Cost Analysis
OBJECTIVE: To assess the effects of inpatient rehabilitation specifically designed for geriatric patients compared with usual care on functional status, admissions to nursing homes, and mortality. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, Embase, Cochrane database, and reference lists from pub...
0
Postoperative wound complications after internal fixation of closed calcaneal fractures: a retrospective analysis of 126 consecutive patients with 148 fractures
DoD SSI (Surgical Site Infections)
AIM: The aim of the study was to analyse the number of soft-tissue complications after internal fixation of calcaneal fractures and to evaluate risk factors leading to these complications. MATERIAL: A retrospective analysis of 126 consecutive patients with 148 operatively treated calcaneal fractures was performed. Only...
0
Lymphedema (Seminars in pediatric surgery)
Panniculectomy & Abdominoplasty CPG
Lymphedema is the chronic, progressive swelling of tissue due to inadequate lymphatic function. Over time, protein-rich fluid accumulates in the tissue causing it to enlarge. Lymphedema is a specific disease and should not be used as a generic term for an enlarged extremity. The diagnosis is made by history and physica...
0
Substance use in young adults with pediatric-onset spinal cord injury
DoD PRF (Psychosocial RF)
STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To assess the prevalence of substance use in young adults with pediatric-onset spinal cord injury (SCI) and its relationship with demographic factors, and medical and psychosocial outcomes. SETTING: Young adults living in the United States who received pediatric SCI car...
0
Cartilage-derived tumor in a prehispanic individual from La Gomera (Canary Islands)
Osteochondritis Dissecans 2020 Review
We present the case of a left tibia with an outgrowth at its distal metaphyseal/epiphyseal end, composed of cancellous bone, surrounding a destructive process that, on radiological examination, reaches the tibiotalar joint surface. The cancellous bone of the outgrowth is well preserved and is in continuity with intrame...
0
Treatment of a central fracture-dislocation of the hip using external fixation with iliofemoral distraction
Management of Hip Fractures in the Elderly
Three patients were treated with external fixation with iliofemoral distraction as an alternative treatment of comminuted central fracture-dislocations of the hip. The patients were mobilized on the first postoperative day and discharged from the hospital an average of 10 days postaccident. The frame was left in place ...
0
Total knee arthroplasty in juvenile rheumatoid arthritis
Surgical Management of Osteoarthritis of the Knee CPG
BACKGROUND: There is a paucity of reports regarding the long-term results of total knee arthroplasty in patients with juvenile rheumatoid arthritis. The purpose of this study was to evaluate the outcome of total knee arthroplasty in patients with juvenile rheumatoid arthritis who had been followed for a minimum of twel...
0
Primary Wrist Hemiarthroplasty for Irreparable Distal Radius Fracture in the Independent Elderly
Distal Radius Fractures
Background Volar plating for acute distal radius fractures (DRF) in the elderly has been recommended. Some studies have suggested that open reduction with internal fixation (ORIF) in this situation results in frequent complications. Our purposes were to provide a definition of irreparable DRF in independent elderly pat...
0
Pre-radiographic osteoarthritic changes are highly prevalent in the medial patella and medial posterior femur in older persons: Framingham OA study
OAK 3 - Non-arthroplasty tx of OAK
OBJECTIVE: To determine which subregions of the knee joint have a high prevalence of pre-radiographic osteoarthritic changes, i.e., cartilage damage and osteophytes that can only be detected by magnetic resonance imaging (MRI), in radiographically normal knees. METHODS: Institutional Review Board approval and written i...
0
Long-Term Efficacy of Distal Penile Circular Fasciocutaneous Flaps for Single Stage Reconstruction of Complex Anterior Urethral Stricture Disease
DOD - Acute Comp Syndrome CPG
Purpose: We determined the overall efficacy and predictors of success of the distal penile circular fasciocutaneous flap in the management of complex anterior urethral stricture disease not due to lichen sclerosus. Materials and Methods: We performed a retrospective review of all patients undergoing reconstruction of c...
0
OARSI recommendations for the management of hip and knee osteoarthritis. Part III: Changes in evidence following systematic cumulative update of research published through January 2009
AAHKS (2) Corticosteroids
Objective: To update evidence for available therapies in the treatment of hip and knee osteoarthritis (OA) and to examine whether research evidence has changed from 31 January 2006 to 31 January 2009. Methods: A systematic literature search was undertaken using MEDLINE, EMBASE, CINAHL, AMED, Science Citation Index and ...
1
Health resource utilisation associated with skeletal-related events in patients with bone metastases secondary to solid tumours: regional comparisons in an observational study
MSTS 2018 - Femur Mets and MM
Skeletal-related events (SREs) including spinal cord compression, pathologic fracture, and radiation or surgery to bone, occur frequently due to bone metastases in advanced cancer. This analysis of a multicentre, observational study was designed to describe cross-regional differences in health resource utilisation (HRU...
0
Isolated acetabular revision with femoral stem retention after bipolar hip arthroplasty
Hip Fx in the Elderly 2019
INTRODUCTION: In bipolar hemiarthroplasty, migration of the outer cup component into the acetabular cup, with evidence of severe osteolysis in the acetabulum, commonly occurs without loosening of the femoral component. The merits of retaining the stable femoral component in these cases have been debated. Our study aime...
0
Pathological femoral fracture caused by primary bone tumour: a population-based study
DoD LSA (Limb Salvage vs Amputation)
This population-based study aimed to analyse the demographic, clinical and histological features of patients with a malignant primary bone tumour of the femur presenting with a pathological fracture. Eighty-four patients were identified from a prospectively gathered national tumour database between 1960 and 2004. Demog...
1
Functional outcome of patellar resurfacing vs non resurfacing in Total Knee Arthoplasty in elderly: A prospective five year follow-up study
Hip Fx in the Elderly 2019
Introduction: Osteoarthritis of knee is one of the most common orthopaedic problems of elderly. Total knee arthroplasty is a common surgical procedure. Many of the poor functional outcomes are related to problems of patellofemoral joint and there is considerable debate whether patella should be resurfaced or not at the...
0
The plastic surgeon and Graves disease
Panniculectomy & Abdominoplasty CPG
Thyroid-associated ophthalmopathy is a disease caused by autoimmune processes that also affects the thyroid gland and the lower limbs; at orbital level, it involves the muscle and adipose tissue. When medical treatment fails to achieve appreciable results, surgery aims to decompress the orbital cavity. In recent years,...
0
Analgesic effect of intra-articular morphine after arthroscopic meniscectomy
AMP (Acute Meniscal Pathology)
A study was performed to assess the analgesic effect of intra-articular morphine 2 mg in 33 patients undergoing elective arthroscopic meniscectomy. Patients were randomly allocated to receive either 2 mg of morphine hydrochloride in 40 ml of normal saline intra-articularly and 1 ml of normal saline intramuscularly (n =...
0
Benefit finding as a moderator of the relationship between spirituality/religiosity and drinking
DoD PRF (Psychosocial RF)
This study evaluated benefit finding as a moderator of the relationship between spiritual and religious attitudes and drinking. Previous research indicates that undergraduates who drink heavily experience negative alcohol-related consequences. Literature also suggests that spirituality and religiosity (S/R) are protect...
1
A comparative study of two percutaneous pinning techniques (lateral vs medial-lateral) for Gartland type III pediatric supracondylar fracture of the humerus
Pediatric Supracondylar Humerus Fracture 2020 Review
BACKGROUND: The management of displaced supracondylar fracture of the humerus with closed reduction and percutaneous pin fixation is the most widely accepted method of treatment, but controversy continues regarding the pin fixation techniques. A prospective randomized controlled study was undertaken to compare the stab...
0
Safety of polypropylene mesh for incarcerated groin and obturator hernias: a retrospective study of 110 patients
PJI DX Updated Search
PURPOSE: The purpose of this study was to evaluate the mesh repair for an incarcerated groin hernia. METHODS: A total of 110 patients who underwent emergency surgery for incarcerated hernias were retrospectively analyzed using a multivariate analysis. RESULTS: The postoperative complications were associated with bowel ...
0
Surgical cure rates of sporadic medullary thyroid cancer in the era of calcitonin screening
MSTS 2018 - Femur Mets and MM
OBJECTIVE: Time trends of the extent of disease at first diagnosis and biochemical cure remain ill-defined for sporadic medullary thyroid cancer (MTC). This investigation aimed to delineate time trends and biochemical cure rates for sporadic MTC. DESIGN: This was an observational study of consecutive patients operated ...
0
Routes to total joint replacement surgery: patients' and clinicians' perceptions of need
Surgical Management of Osteoarthritis of the Knee CPG
OBJECTIVE: To explore patients' perspectives of need for total joint replacement associated with decision making in orthopaedic consultations for hip or knee osteoarthritis. METHODS: Twenty-six orthopaedic consultations in 3 UK hospitals were observed and audio recorded, and semistructured interviews were conducted wit...
1
Clinical outcome of salmon calcitonin nasal spray treatment in postmenopausal women after total hip arthroplasty
Management of Hip Fractures in the Elderly
OBJECTIVE: The increasing rate of hip fractures is giving rise to a number of socio-economic problems for the aging community. In addition to being unable to resume their previous living habits, many patients fail to achieve full functional recovery after the fractures. Total hip arthroplasty (THA) is a successful oper...
0
The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up
Distal Radius Fractures
Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted. Materials and Methods: I...
0
The relationship between peak knee extension at heel-strike of walking and the location of thickest femoral cartilage in ACL reconstructed and healthy contralateral knees
Surgical Management of Osteoarthritis of the Knee CPG
Reports that knee cartilage health is sensitive to kinematic changes, combined with reports of extension loss following ACL reconstruction, underscores the importance of restoring ambulatory knee extension in the context of preventing premature osteoarthritis. The purpose of this study was to test the relationship betw...
1
Interventions for replacing missing teeth: antibiotics at dental implant placement to prevent complications
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
BACKGROUND: Some dental implant failures may be due to bacterial contamination at implant insertion. Infections around biomaterials are difficult to treat and almost all infected implants have to be removed. In general, antibiotic prophylaxis in surgery is only indicated for patients at risk of infectious endocarditis,...
0
Meniscal Allograft Transplantation With Concomitant Osteochondral Allograft Transplantation
AMP (Acute Meniscal Pathology)
Surgical strategies for knee joint preservation are numerous, with the procedure(s) of choice for a given patient dependent on the status of the articular cartilage, meniscus, overall alignment, and ligamentous stability. For patients with large, isolated, osteochondral defects of the articular cartilage of the femoral...
1
Postoperative weight-bearing after a fracture of the femoral neck or an intertrochanteric fracture
Management of Hip Fractures in the Elderly
Sixty patients who had had operative treatment of a fracture of the femoral neck or an intertrochanteric fracture were allowed to bear weight as tolerated on the injured limb. The average age was seventy-seven years. Computerized gait-testing was performed at one, two, three, six, and twelve weeks postoperatively to qu...
1
Missed or developmental dislocation of the hip
Developmental Dysplasia of the Hip CPG
In 15 documented cases, subluxation or dislocation of the hip was discovered months or years after previous multiple normal physical examinations. The examiners were unique in that six were professors specializing in childrens' orthopedics, four were board-certified orthopedists, and five were pediatricians. An increas...
0
Injuries and the cost of falls among older adults how pharmacists can help
HipFx Supplemental Cost Analysis
Fall-related injuries are a serious public health issue among older adults. In addition to having a significant impact on our economy, these injuries are associated with considerable morbidity. Each year, 1 out of every 3 adults aged 65 and older fall; of these adults, 10% to 20% sustain serious injuries such as fractu...
0
Reverse shoulder-allograft prosthesis composite, with or without tendon transfer, for the treatment of severe proximal humeral bone loss
MSTS 2022 - Metastatic Disease of the Humerus
BACKGROUND: The treatment of severe proximal humeral bone loss (PHBL) secondary to tumor resection or failed arthroplasty is challenging. We evaluated the outcomes and complications of reconstruction with reverse shoulder-allograft prosthesis composite (RS-APC), performed with or without tendon transfer. METHODS: An RS...
0
Non-metastatic Ewing's sarcoma of the ribs: the French Society of Pediatric Oncology Experience
MSTS 2022 - Metastatic Disease of the Humerus
From 1984 to 1997, 57 consecutive patients with non-metastatic Ewing's sarcoma of the ribs were treated according to multimodal French Society of Pediatric Oncology (SFOP) protocols EW 84, EW 88 and EW 93. The results of treatment were reviewed and analysed. Median age was 12 years. 34 patients had large tumours (great...
0
Social support throughout the deployment cycle for women veterans returning from Iraq and Afghanistan
DoD PRF (Psychosocial RF)
Social support throughout the deployment cycle and the challenges of readjustment to civilian life for veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom were explored. Eighteen participants from the New England and Indiana Veterans Administration catchment area were interviewed using a semi...
0
A Study of the Supratrochlear Foramen of the Humerus: Anatomical and Clinical Perspective
Pediatric Supracondylar Humerus Fracture 2020 Review
INTRODUCTION: The Supratrochlear Foramen (STF) is a variably shaped perforation present in the bony septum that separates the olecranon and coronoid fossae at the distal end of the humerus, between the two epicondyles. Its incidence varies widely from 0.3% to 58% in different races. AIM: This study aims to describe its...
0
Prevalence of ocular motor cranial nerve palsy and associations following stroke
Upper Eyelid and Brow Surgery
AIM: Occurrence of ocular motor cranial nerve palsies (OMCNP), following stroke, has not been reported in relation to the type of OMCNP seen and in relation to brain area affected by stroke. The aim of this study was to identify all patients referred with suspected visual impairment to establish the presence and type o...
0
Reconstruction with non-vascularised fibular grafts after resection of bone tumours
DoD SSI (Surgical Site Infections)
We evaluated 31 patients who were treated with a non-vascularised fibular graft after resection of primary musculoskeletal tumours, with a median follow-up of 5.6 years (3 to 26.7 years). Primary union was achieved in 89% (41 of 46) of the grafts in a median period of 24 weeks. All 25 grafts in 18 patients without addi...
0
Primary Total Knee Arthroplasty in Patients With Neuropathic (Charcot) Arthropathy: Contemporary Results
OAK 3 - Non-arthroplasty tx of OAK
Background: Total knee arthroplasty (TKA) for neuropathic (Charcot) arthropathy is technically challenging with higher complication rates than primary TKA for osteoarthritis. There is a paucity of data regarding outcomes of TKA in contemporary cohorts with modern implants, techniques, and indications. Our study aimed t...
1
Nerve conduction studies and sensibility testing in carpal tunnel syndrome
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
This paper compares the results of detailed sensibility testing with nerve conduction studies done in patients with carpal tunnel syndrome. Forty-three patients with 74 symptomatic hands were examined. Median and ulnar distal sensory and motor latencies were obtained bilaterally. Sensibility testing included assessment...
0
The association between high plasma homocysteine levels and lower bone mineral density in Slovak women: the impact of vegetarian diet
Management of Hip Fractures in the Elderly
BACKGROUND: A long-term vegetarian diet is generally poor in vitamin B group. The lack of vitamin B(12) together with vitamin B(6) and folate deficiency is closely related to homocysteine metabolism. Hyperhomocysteinemia was found to be associated with increased bone turnover markers and increased fracture risk. Thus, ...
0
Current status of modern fully porous coated metal-on-metal hip resurfacing arthroplasty
PJI DX Updated Search
Between March 2007 and July 2010, 1000 consecutive fully porous coated hip resurfacing arthroplasties (HRA) were performed by a single surgeon in 871 patients. The average length of follow-up was 3. ±. 1. years. Three cases (0.3%) in three patients showed adverse wear related failures. Another 17 (1.7%) failures wer...
0
No differences in outcomes between cemented and uncemented acetabular components after 12-14 years: Results from a randomized controlled trial comparing Duraloc with Charnley cups
Management of Hip Fractures in the Elderly
Background: Even though there are multiple studies documenting the outcome of the Charnley low-friction arthroplasty as well as abundant studies on uncemented arthroplasties, there is a dearth of comparative studies of the uncemented acetabular component and a cemented component. In this study we aimed to document the ...
0
Operative risk of total hip and knee arthroplasty in cirrhotic patients
Management of Hip Fractures in the Elderly
Limited data exist on the safety of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) in cirrhotic patients. We retrospectively reviewed outcomes of these procedures in cirrhotic patients and matched controls. Significant adverse outcomes occurred in 20.7% (6 of 29) of cirrhotic patients compared w...
0
Genesis 1 posterior cruciate-retaining total knee arthroplasty with asymmetric tibial tray: An 18-to-26-year long-term clinical outcome study
OAK 3 - Non-arthroplasty tx of OAK
Background: To present the long-term clinical and radiological outcomes of the Genesis I posterior cruciate-retaining total knee arthroplasty (TKA) (Smith & Nephew Orthopaedics, Memphis, TN, USA) (one of the first designed with an asymmetric tibial tray). Methods: Prospectively collected data from 117 cemented TKAs per...
0
Cerebral palsy in children: An overview
PJI DX Updated Search
A review article giving a brief synopsis of etiology, classification, diagnosis and management of cerebral in children. © 2012 Delhi Orthopaedic Association
0
Arthroscopic synovectomy, removal of loose bodies and selective biceps tenodesis for synovial chondromatosis of the shoulder
Glenohumeral Joint OA
We retrospectively identified 18 consecutive patients with synovial chrondromatosis of the shoulder who had arthroscopic treatment between 1989 and 2004. Of these, 15 were available for review at a mean follow-up of 5.3 years (2.3 to 16.5). There were seven patients with primary synovial chondromatosis, but for the rem...
0
Prevalence and incidence of osteoporotic fractures in patients on long-term glucocorticoid treatment for rheumatic diseases: the Glucocorticoid Induced OsTeoporosis TOol (GIOTTO) study
Hip Fx in the Elderly 2019
Osteoporosis and fractures are common and invalidating consequences of chronic glucorticoid (GC) treatment. Reliable information regarding the epidemiology of GC induced osteoporosis (GIOP) comes exclusively from the placebo group of randomized clinical trials while observational studies are generally lacking data on t...
0
Effect of physician ownership of specialty hospitals and ambulatory surgery centers on frequency of use of outpatient orthopedic surgery
Diagnosis and Treatment of Carpal Tunnel Syndrome CPG
BACKGROUND: Physician-owned specialty hospitals and ambulatory surgery centers have become commonplace in many markets throughout the United States. Little is known about whether the financial incentives linked to ownership affect frequency of outpatient surgery. OBJECTIVE: To evaluate if financial incentives linked to...
0
Optimization of dual energy computed tomography post-processing to reduce lower limb artifacts in gout
AMP (Acute Meniscal Pathology)
BACKGROUND: In gout, several types of dual-energy computed tomography (DECT) artifacts have been described (nail bed, skin, beam hardening, submillimeter and vascular artifacts), which can lead to overdiagnosis. The objective of this study was to determine the optimal DECT settings for post processing in order to reduc...
0
Isometric abduction muscle activation in patients with rotator tendinosis of the shoulder
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
OBJECTIVE: To examine the influence of pain on activation in brief maximal and sustained submaximal isometric abduction in patients with rotator tendinosis of the shoulder. DESIGN: Randomized, controlled experimental trial. PARTICIPANTS: Ten patients with complaints of at least 3 months' duration (median range, 1 to 2 ...
0
Pulmonary tuberculosis with delayed tuberculosis infection of total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Tuberculous prosthetic joint infection is rare. While early diagnosis is critical for treatment, it is usually delayed. Here, we present the case of a 72-year-old patient who underwent total knee arthroplasty for his right knee due to degenerative arthritis 4 years ago. Three years after arthroplasty, pulmonary tubercu...
0
Preoperative nutritional status of total joint patients. Relationship to postoperative wound complications
Surgical Management of Osteoarthritis of the Knee CPG
The records of 217 consecutive patients who underwent a primary total hip or total knee arthroplasty were reviewed for preoperative and postoperative nutritional status. Fifty-seven patients had a lymphocyte count of less than 1,500 cells/mm3, four patients had an albumin level of less than 3.5 g/dL, and two patients h...
0
The biologic basis of ultrasonic liposuction
Panniculectomy & Abdominoplasty CPG
The use of ultrasound to facilitate liposuction is a new and potentially exciting area of clinical and research interest. Whether or not this will result in important changes in the practice of liposuction remains to be determined.
0
Dasatinib as a bone-modifying agent: anabolic and anti-resorptive effects
MSTS 2018 - Femur Mets and MM
BACKGROUND: Bone loss, in malignant or non-malignant diseases, is caused by increased osteoclast resorption and/or reduced osteoblast bone formation, and is commonly associated with skeletal complications. Thus, there is a need to identify new agents capable of influencing bone remodeling. We aimed to further pre-clini...
1
Psychosocial buffers of traumatic stress, depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom and Iraqi Freedom: the role of resilience, unit support, and postdeployment social support
DoD PRF (Psychosocial RF)
BACKGROUND: Little research has examined the role of protective factors such as psychological resilience, unit support, and postdeployment social support in buffering against PTSD and depressive symptoms, and psychosocial difficulties in veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF). MATERIALS A...
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Adherence to Preoperative Cardiac Clearance Guidelines in Hip Fracture Patients
Hip Fx in the Elderly 2019
OBJECTIVES: To identify if preoperative cardiac consultations are made in accordance with the American College of Cardiology (ACC) Foundation and American Heart Association (AHA) guidelines and the delays in care after unnecessary consults. DESIGN: Retrospective review. SETTING: Level 1 trauma center. PATIENTS/PARTICIP...
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Does Disability Correlate With Impairment After Hand Injury?
DoD PRF (Psychosocial RF)
Background: Any loss or deviation in body function and structure is considered impairment, whereas limitations on activities are fundamental to the definition of disability. Although it seems intuitive that the two should be closely related, this might not be the case; there is some evidence that psychosocial factors a...
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Lessons learned from early clinical experience and results of 300 ASR hip resurfacing implantations
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
Between August 2003 and April 2005, 300 ASR metal-on-metal resurfacing hip endoprostheses were implanted by the first author and a fellow surgeon. The mean age at surgery was 56.8 years (18-75.9 years) and mean body mass index was 27.6 kg/m2 (range, 19-41 kg/m2). The mean follow-up time was 202 days. The mean Harris hi...
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GH in combination with bisphosphonate treatment in osteogenesis imperfecta
Distal Radius Fractures
Objective: To verify the effects of bisphosphonates (Bps) in combination with recombinant human GH (rGH) in pediatric osteogenesis imperfecta (OI) patients; we focused on possible improvement of bone mineral density (BMD), projected bone areas, growth velocity, and fractures risk. Design: A randomized controlled 1-year...
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Survival and safety of exemestane versus tamoxifen after 2-3 years' tamoxifen treatment (Intergroup Exemestane Study): a randomised controlled trial
Management of Hip Fractures in the Elderly
Background: Early improvements in disease-free survival have been noted when an aromatase inhibitor is given either instead of or sequentially after tamoxifen in postmenopausal women with oestrogen-receptor-positive early breast cancer. However, little information exists on the long-term effects of aromatase inhibitors...
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MR imaging of the elbow: A spectrum of common pathologic conditions
The Treatment of Pediatric Supracondylar Humerus Fractures AUC
The following pictorial essay is a review of common elbow pathology as seen on elbow MR imaging. These include pathologic conditions that involve tendons, ligaments, osseous structures, bursa and other miscellaneous and incidentally detected lesions. (copyright) 2005 Elsevier Inc. All rights reserved
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Bone biopsies and serum vitamin-D levels in patients with hip fracture
Management of Hip Fractures in the Elderly
To assess the correlation between osteoid and vitamin D in patients with a proximal femoral fracture, bone biopsies of the fracture site and the iliac crest were studied; and vitamin-D levels were measured in fasting blood taken on the day of admission. No osteomalacia was found at either site in any of the 95 patients...
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Evaluation of meniscal tears: fast spin-echo versus conventional spin-echo magnetic resonance imaging
AMP (Acute Meniscal Pathology)
RATIONALE AND OBJECTIVES: We compared the performance of fast spin-echo (FSE) with conventional spin-echo (CSE) magnetic resonance (MR) imaging sequences in the detection of meniscal tears. METHODS: Seventy-three patients underwent MR examination of the knee for suspected internal derangement. Each patient was scanned ...
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Hip fracture risk in statin users--a population-based Danish case-control study
Management of Hip Fractures in the Elderly
Based on animal studies, statins (3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors) have been suggested as potential agents in the treatment of osteoporosis. In some epidemiological studies, statins have been associated with a reduced fracture risk. Our objective was to examine associations between statin tre...
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Tears of the medial collateral ligament: magnetic resonance imaging findings and associated injuries
AMP (Acute Meniscal Pathology)
For 23 patients with a surgically proven tear of the medial collateral ligament the findings from magnetic resonance imaging (MRI) of the knee were evaluated retrospectively. MRI revealed the tear in all cases, although when the injury was severe, distinguishing high-grade partial tears from complete tears was difficul...
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Fatigue, psychosocial adaptation and quality of life one year after traumatic brain injury and suspected traumatic axonal injury; evaluations of patients and relatives: a pilot study
DoD PRF (Psychosocial RF)
OBJECTIVE: To describe fatigue and its relationship to cognition, psychosocial adjustment, quality of life (QoL), work status and relative's experiences 12 months after suspected traumatic axonal injury (TAI). METHODS: Eighteen patients were assessed with the Daily Fatigue Impact Scale (D-FIS), the Barrow Neurological ...
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Postoperative flexion analysis of 3 rotating-platform knee designs
OAK 3 - Non-arthroplasty tx of OAK
Rotating-platform knee implants have successively undergone modifications to improve postoperative flexion. The cruciate-sacrificing Low Contact Stress (LCS) implant (DePuy Orthopaedics, Inc, Warsaw, Indiana) was modified into the cruciate-substituting PFC Sigma RP (ΣRP) implant and further into the PFC Sigma RPF (ΣR...
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Critical shoulder angle is associated with full-thickness rotator cuff tears in patients with glenohumeral osteoarthritis
Glenohumeral Joint OA
BACKGROUND: Higher critical shoulder angle (CSA) is correlated with rotator cuff tears (RCTs), whereas lower CSA is associated with glenohumeral osteoarthritis (OA). Our goal was to investigate whether patients with concurrent glenohumeral OA and full-thickness RCTs demonstrate a higher CSA than patients with OA alone....
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Determination of Normal Reference Values for Meniscal Extrusion Using Ultrasonography During the Different Range of Motion: A Pilot, Feasibility Study
AMP (Acute Meniscal Pathology)
OBJECTIVES: It is essential to know the normal extrusion measures in order to detect pathological ones. In this study, we aimed to define some normal reference values for meniscal extrusion in the normal knees during different ranges of motion. METHODS: The amount of anterior and posterior portion of meniscal extrusion...
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Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty
Surgical Management of Osteoarthritis of the Knee CPG
Purpose: Total knee arthroplasty (TKA) successfully reduces pain, but has not achieved comparable improvements in function. We hypothesized that quadriceps strength affects performance by altering loading and movement patterns during functional tasks. Methods: Fourteen subjects with isolated, unilateral TKA were tested...
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Treatment of humeral shaft fractures with antegrade intramedullary locking nail
Pediatric Supracondylar Humerus Fracture 2020 Review
Antegrade interlocked humeral nailing for stabilization of humeral fractures was introduced many years ago, and studies on this method in the orthopedic literature have shown mixed results. The purpose of this investigation was to document the clinical outcome and complications associated with the use of an antegrade i...
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The role of bisphosphonates in the management of advanced cancer with a focus on non-small-cell lung cancer. Part 2: Clinical studies and economic analyses
MSTS 2018 - Femur Mets and MM
Newer-generation intravenous bisphosphonates have resulted in the reduction of skeletal-related complications, i.e. skeletal-related events (SREs) such as pain, hypercalcemia, pathologic fractures and spinal cord and nerve compression, as well as improvements in the quality of life in patients with metastatic bone dise...
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Characterization of trabecular bone microstructure in premenopausal women with distal radius fractures
Distal Radius Fractures
Individual trabecular segmentation was utilized to identify differences in trabecular bone structure in premenopausal women with wrist fractures and non-fracture controls. Fracture subjects had reduced trabecular plate volume, number, thickness, and connectivity. Identifying altered trabecular microarchitecture in youn...
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MR imaging of the knee: findings in asymptomatic collegiate basketball players
AMP (Acute Meniscal Pathology)
OBJECTIVE: The purpose of our study was to evaluate the knees of asymptomatic high-level collegiate basketball players before the beginning of the basketball season to gain an understanding of nonclinical findings in this patient population. SUBJECTS AND METHODS: Bilateral knee MR imaging examinations of 17 varsity bas...
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Polymorphisms in the genes ERCC2, XRCC3 and CD3EAP influence treatment outcome in multiple myeloma patients undergoing autologous bone marrow transplantation
MSTS 2022 - Metastatic Disease of the Humerus
Individual variations in the ability to cope with DNA damage by DNA repair may be essential for the response to chemotherapy, since cancer cells from patients with an effective DNA repair may survive treatment. We have studied the effect on time to treatment failure (TTF) and overall survival (OS) of polymorphism in th...